关键词: Ethics Global Health Migration and health Obstetrics and gynaecology Public health

Mesh : Female Humans Africa Circumcision, Female / adverse effects Dyspareunia / etiology Gynecologic Surgical Procedures / adverse effects Vagina / surgery Adult

来  源:   DOI:10.1136/bcr-2022-251008   PDF(Pubmed)

Abstract:
We present the case of a woman in her late 20s who consulted our gynaecology emergency department due to dyspareunia and vaginal penetration issues. She had undergone a \'virginity reconstruction\' procedure 10 days before her wedding in Africa. Clinical examination revealed suture of the inferior part of inner labia (labia minora), narrowing of the vaginal introitus and abnormal vaginal discharge. We performed an inferior defibulation procedure and removed the sutures under general anaesthesia. Postoperative care included systemic metronidazole, counselling, vaginal dilators and topical estrogens for 1 month. There were no complications during the postoperative follow-up, and a month later, the woman confirmed a satisfactory outcome. The aim of this paper is to discuss the practice of so-called \'virginity reconstruction\', currently classified among female cosmetic genital surgeries despite being very similar to what is defined as female genital mutilation, and the care that can be provided to women in such cases.
摘要:
我们介绍了一名20多岁的妇女,由于性交困难和阴道渗透问题,她咨询了我们的妇科急诊科。在非洲举行婚礼前10天,她接受了“童贞重建”程序。临床检查发现内阴唇(小阴唇)下部缝合,阴道口狭窄和阴道分泌物异常。我们进行了下排尿术,并在全身麻醉下移除了缝线。术后护理包括全身性甲硝唑,咨询,阴道扩张剂和局部雌激素1个月。术后随访无并发症发生,一个月后,该名女子证实结果令人满意。本文的目的是讨论所谓的“童贞重建”的实践,尽管与女性生殖器切割的定义非常相似,但目前被归类为女性整形手术,以及在这种情况下可以向妇女提供的护理。
公众号